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November 28, 1986

The Ischemic Leg

Author Affiliations

State University of New York Health Science Center Syracuse

JAMA. 1986;256(20):2885-2886. doi:10.1001/jama.1986.03380200123039

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


This edition updates a volume originally published seven years ago. Its subject for the most part is chronic atherosclerotic occlusive disease of the legs. It also touches on less common chronic arterial occlusive disease of the legs, such as in diabetes mellitus, thromboangiitis obliterans, and popliteal artery entrapment. A single short chapter discusses acute arterial occlusion.

There are excellent chapters on the natural history and anatomic patterns of atherosclerosis of the lower extremities as well as the relationship between atherosclerosis and diabetes mellitus. The section on diagnosis is heavily weighted toward technology and machinery, as is the current trend. Considering how valuable the history and physical examination are in not only diagnosing chronic arterial insufficiency of the lower extremity but also determining the indications for surgery, one might wish for a fuller discussion of clinical evaluation of the patient.

Much of the book discusses the varieties of operations that can